Ultrasound therapy system with automatic dose control

• US 5,413,550 A
• Filed: 07/21/1993
• Issued: 05/09/1995
• Est. Priority Date: 07/21/1993
• Status: Expired due to Term

• Current Assignee: Accelerated Care Plus Corp. (Hanger, Inc.)
• Original Assignee: PTI LLC
• Inventors: Castel, John C.
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US08/095,102
• Time in Patent Office: 657 Days
• Field of Search: 601/2-4, 607/97, 604/22
• US Class Current: 601/2
• CPC Class Codes: A61H 2201/5007 computer controlled
• CPC Class Codes: A61H 23/0245 with ultrasonic transducers, e.g. piezoelectric
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092

Abstract

An ultrasound therapy system with automatic dose control includes an ultrasound transducer, an ultrasound generator controllable in frequency and power output connected to the transducer, a system controller interfaced to the generator, input switches interfaced to the controller to enable the input of selected ultrasound treatment parameters, and a display interfaced to the controller. The controller is programmed to calculate an ultrasound treatment dosage in terms of frequency, ultrasound intensity, and treatment time from the entered treatment parameters. Once treatment is started, the controller tracks the accumulated dosage applied to the tissue. The clinician can vary the intensity or treatment time, and the controller will recalculate the other factor for the remaining portion of the unapplied treatment dosage.

Claims

1. A method for automatically controlling by automatic control circuitry a therapeutic ultrasound transducer for ultrasonically treating tissue and comprising the steps of:

(a) providing means for inputting tissue treatment parameters into automatic control circuitry operatively connected to a therapeutic ultrasound transducer;

(b) upon tissue treatment parameters being entered, automatically calculating by said control circuitry an ultrasound treatment dosage based on input tissue treatment parameters said treatment dosage including at least two dosage factors which are mathematically related to said dosage;

(c) upon no tissue treatment parameters being entered, automatically calculating by said control circuitry an ultrasound treatment dosage based on selected default tissue treatment parameters;

(d) automatically controlling said ultrasound transducer by said control circuitry to maintain the calculated ultrasound treatment dosage;

(e) manually varying a first of said dosage factors; and

(f) automatically varying a second of said dosage factors to compensate for variation of the first dosage factor to thereby maintain the previously calculated dosage.

2. A method as set forth in claim 1 wherein said treatment dosage includes as dosage factors ultrasonic intensity of said transducer and a treatment time, and wherein steps (e) and (f) further include the steps of:

(a) automatically tracking the percentage of the calculated dosage applied to said tissue;

(b) prior to expiration of said treatment time, manually varying a first of said dosage factors; and

(c) automatically varying a second of said dosage factors in inverse proportion to variation of said first dosage factor for a remaining percentage of the previously calculated treatment dosage to be applied to said tissue.

3. A method as set forth in claim 2 and including the steps of:

(a) prior to expiration of said treatment time, manually varying said treatment time; and

(b) automatically varying said ultrasound intensity in inverse proportion to variation of said treatment time for a remaining percentage of said calculated treatment dosage to be applied to said tissue.

4. A method as set forth in claim 2 and including the steps of:

(a) prior to expiration of said treatment time, manually varying said ultrasonic intensity; and

(b) automatically varying said treatment time in inverse proportion to variation of said ultrasonic intensity for a remaining percentage of said calculated treatment dosage to be applied to said tissue.

5. A method as set forth in claim 1 and including the step of:

(a) manually inputting as a tissue treatment parameter a selection of an ultrasonic couplant between said transducer and an external surface of a part of the body having said tissue therebelow.

6. A method as set forth in claim 1 and including the step of:

(a) manually inputting as a tissue treatment parameter a selection of a desired tissue temperature increase of said tissue in response to application of said treatment dosage thereto.

7. A method as set forth in claim 1 and including the step of:

(a) manually inputting as a tissue treatment parameter a selection of a tissue depth of said tissue to receive ultrasonic energy by application of said treatment dosage thereto.

8. A method as set forth in claim 1 and including the step of:

(a) manually inputting as a tissue treatment parameter a selection of a treatment area of said tissue to receive said treatment dosage.

9. A method as set forth in claim 1 and including the step of:

(a) providing an ultrasonic transducer having a beam nonuniformity ratio (BNR) which is not greater than 4;

1.

10. A method for automatically controlling by automatic control circuitry a therapeutic ultrasound transducer for ultrasonically treating tissue and comprising the steps of:

(a) inputting a selection of a desired tissue treatment depth to automatic control circuitry operatively connected to a therapeutic ultrasound transducer;

(b) inputting to said control circuitry a tissue temperature increase at the selected tissue depth;

(c) automatically calculating by said control circuitry an ultrasound treatment dosage in terms of dosage factors of an ultrasound intensity applied to said tissue over a treatment time based on the input tissue temperature increase;

(d) energizing said transducer at a frequency corresponding to the input tissue treatment depth;

(e) automatically maintaining an output of ultrasonic energy from said transducer at the calculated treatment dosage;

(f) prior to expiration of said treatment time, manually varying a first of said dosage factors; and

(g) automatically varying a second of said dosage factors to compensate for variation of the first of said dosage factors to thereby maintain the originally calculated treatment dosage.

11. A method as set forth in claim 10 and wherein steps (f) and (g) further include the steps of:

(a) automatically tracking the percentage of the calculated dosage applied to said tissue;

(b) prior to expiration of said treatment time, manually varying said treatment time; and

(c) automatically varying said ultrasound intensity in inverse proportion to variation of said treatment time for a remaining percentage of said calculated treatment dosage to be applied to said tissue.

12. A method as set forth in claim 11 and including the steps of:

(a) until a patient receiving said dosage experiences discomfort;

(1) manually decreasing said treatment time in time increments; and

(2) for each increment of decrease of said treatment time, automatically increasing said ultrasonic intensity to maintain said calculated dosage, to thereby apply a maximum intensity of ultrasonic energy to said tissue in a minimum of treatment time commensurate with the comfort of said patient.

13. A method as set forth in claim 12 and including the steps of:

(a) upon said patient experiencing said discomfort;

(1) manually increasing said treatment time in time increments; and

(2) for each increment of increase of said treatment time, automatically decreasing said ultrasonic intensity to maintain said calculated dosage, to thereby return to a maximum ultrasonic intensity level which does not cause discomfort in said patient.

14. A method as set forth in claim 10 and wherein steps (f) and (g) further include the steps of:

(a) automatically tracking the percentage of the calculated dosage applied to said tissue;

(b) prior to expiration of said treatment time, manually varying said ultrasonic intensity; and

(c) automatically varying said treatment time in inverse proportion to variation of said ultrasonic intensity for a remaining percentage of said calculated treatment dosage to be applied to said tissue.

15. A method as set forth in claim 10 and including the step of:

(a) providing an ultrasonic transducer having a beam nonuniformity ratio (BNR) which is not greater than 4;

1.

16. A method as set forth in claim 10 and including the steps of:

(a) inputting as a tissue treatment parameter at least one of;

(1) a selection of one of a plurality a treatment areas of said tissue to receive said treatment dosage;

(2) a selection of one of a plurality of ultrasonic couplants between said transducer and an external surface of a part of the body having said tissue therebelow;

(3) a selection of one of a plurality of types of tissue to receive said treatment dosage; and

(4) a selection of a duty factor of an ultrasonic signal output to be output from said transducer from a range of duty factors; and

(b) automatically calculating said treatment dosage based upon a selection within any tissue treatment parameter which has been input.